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Blood lead levels and multiple sclerosis: A case-control study
Mohammad Dehghanifiroozabadi1, Parisa Noferesti2, Alireza Amirabadizadeh1
1Medical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Moallem Avenue, Birjand, Iran.
Background:
Multiple sclerosis (MS) is a debilitating disease of the central nervous system, with disseminating demyelination of nerve fibers and spinal cord. Exposure to heavy metals seems to be associated with a higher incidence of MS. Few studies have assessed the correlation of the incidence of MS with heavy metal concentrations. The present study aimed to assess the relationship between blood lead levels and MS.
Methods:
This case-control study was conducted on 29 MS patients and 29 healthy control persons. The controls were age, gender and occupation matched at the time of blood sampling. Blood lead levels were measured using the atomic absorption spectrometry method. Data were analyzed using Student t-test, Mann-Whitney U, and multiple logistic regression, using a significance level of p ˂ 0.05.
Results:
According to the result of this study, the mean blood lead level (BLL) was 75.6 ± 9.35and33.8 ± 28.8 µg/L in patients with MS and control group, respectively. Median blood lead levels were significantly higher in MS patients (38 µg/L, range: 27-67), compared to the controls (30 µg/L, range: 11-49) (p = 0.03). The risk of MS increased 1.17 times per one µg/L increment of blood lead level, using the multiple logistic regression analysis on the present results.
Conclusion:
In conclusion, based on our results, BLL was higher in MS patients, compared with healthy individuals. The risk of MS increased 1.17 times per one µg/L increment of blood lead level.
Insights
Elevated blood lead levels are associated with multiple sclerosis (MS). Higher lead exposure in patients with MS indicates a potential environmental risk factor for this neurological disease.
Area of Science:
- Environmental Health
- Neuroscience
- Toxicology
Background:
- Multiple sclerosis (MS) is a central nervous system disease characterized by demyelination.
- Exposure to heavy metals, including lead, is suspected to increase MS incidence.
- Limited research exists on the correlation between heavy metal concentrations and MS occurrence.
Purpose of the Study:
- To investigate the relationship between blood lead levels (BLL) and the incidence of multiple sclerosis.
- To determine if elevated lead exposure is a risk factor for developing MS.
Main Methods:
- A case-control study involving 29 patients with MS and 29 matched healthy controls.
- Blood lead levels were quantified using atomic absorption spectrometry.
- Statistical analysis included Student t-test, Mann-Whitney U, and multiple logistic regression (p < 0.05).
Main Results:
- Median blood lead levels were significantly higher in MS patients (38 µg/L) compared to controls (30 µg/L).
- The mean BLL was substantially greater in the MS group (75.6 µg/L) than in the control group (33.8 µg/L).
- Multiple logistic regression indicated a 1.17-fold increased risk of MS for every 1 µg/L rise in BLL.
Conclusions:
- Blood lead levels are significantly elevated in individuals with multiple sclerosis.
- Increased blood lead levels are associated with a higher risk of developing MS, suggesting lead exposure as a potential environmental factor.
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